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General NPI Number Information
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NPI Number | 1205626991
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Entity Type | Organization
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Legal Business Name | ARISING SUN OF MARYSVILLE, LLC
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Dates
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Enumeration Date | 05/07/2025
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Last Update Date | 05/07/2025
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Provider Practice Location Address
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Address Line | 6414 77TH PL NE
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City | MARYSVILLE
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State | WA
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Zip | 98270-3355
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Country | US
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Telephone | 360-925-6445
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Fax |
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Provider Business Mailing Address
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Address Line | 3042 HALEY CIR
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City | DAVIDSON
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State | NC
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Zip | 28036-9118
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/ PROVIDER
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Name | KAREEM STINNETT
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Credential |
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Telephone | 850-339-8809
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174200000X
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Taxonomy Name | Meals Provider
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 177F00000X
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Taxonomy Name | Lodging Provider
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State |
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